Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Behaviours
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Machine Operator:
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Company:
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Seatbelt being worn when operating machine?
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Horn being used at corners, on coming traffic and blind spots?
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Machine / pedestrian 3 metre rule being used?
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Required PPE is being worn?
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Fork hoist driver has stopped and lowered forks prior to pedestrians approaching?
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Driver has their fork hoist license present or valid competency to operate machine?
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Dates on Competency card are all valid?
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Machine is clean and free of rubbish?
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Is the machine free of any noticeable faults?
Observation
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Correct manual handling techniques being followed?
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DMG pallets dropped in designated area?
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Pedestrians using designated walkways?
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Correct items in appropriate recycling bin?
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Emergency exits are clear of obstructions?
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Ground is clear and free from trip hazards?
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Correct Safety signage is in place?
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Recycle bins free of any damages?
Discussion
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Name:
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Company:
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What items are you allowed to stop and grab before proceeding to assembly point?
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What should you do when the evacuation alarm sounds while working?
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What is the minimum distance required between moving MHE and pedestrians?
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What should you do if you see water, oil or liquid on the floor?
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How many fork hoists are allowed to load/unload a vehicle at any time?
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Who's responsible for reporting a Harvard/near miss/injury/property damage?
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What must you carry with you at all times when you are using the MHE equipment?
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What should you do if you see something being done that is unsafe?
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Where are the first aid kits located?
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Name a First Aider in your department?
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Name a Fire Warden in your department?